| NPI | 1568098432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 105737) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-01-17 |