| NPI | 1548868367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R215372) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-11-09 |