| NPI | 1730626839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN574088) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2025-02-21 |