| NPI | 1760247688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029378) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: PA RN618632) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-07-10 |