| NPI | 1700372596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030603) |
| 363L00000X Nurse Practitioner (Licence: PA SP030603) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP030603) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2026-02-09 |