| NPI | 1659752889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015076) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1139956) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-07-03 |