| NPI | 1598200875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11042463) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 203581) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 1201521) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 123889) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24194516) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023233) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2025-10-21 |