| NPI | 1790335891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004044) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2026-06-09 |