| NPI | 1457007304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN537092) |
| 363L00000X Nurse Practitioner (Licence: PA NPPA066821) | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-06-02 |