| NPI | 1558786129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026991) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8808) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338563) | |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2026-03-24 |