| NPI | 1437934650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN591109) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0012692) | |
| 363L00000X Nurse Practitioner (Licence: MD AC008020) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC008020) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012692) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-10-18 |