| NPI | 1588907596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP034585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22885) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2026-03-10 |