| NPI | 1659724623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R181033) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-10-02 |