| NPI | 1417529116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN524952L) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-08-21 |