| NPI | 1730261322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 262597) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-03-13 |