| NPI | 1487237137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP023324) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-04-22 |