| NPI | 1609436856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024716) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD F07190671) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-04-01 |