| NPI | 1538946991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN635151) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2026-09-09 |