| NPI | 1649774795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R164385) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-08-12 |