| NPI | 1588389027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP026314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA F08220620) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2024-09-13 |