| NPI | 1689260010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN735662) |
| 363L00000X Nurse Practitioner (Licence: KS 83711) | |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2025-05-14 |