| NPI | 1669209607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA SPO30101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030101) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-12-22 |