| NPI | 1568980332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: PA SP017365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA RN519408L) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-07-15 |