| NPI | 1609484740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA 607823) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2025-09-23 |