| NPI | 1609543925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP024418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MZ6755598) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R177863) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-08-03 |