| NPI | 1730624651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025301) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN669412) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2024-11-19 |