| NPI | 1477821510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202201194NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95020358) | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2026-03-26 |