| NPI | 1609323294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN623128) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-04-04 |