| NPI | 1770324683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA061964) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-11-10 |