| NPI | 1801588777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SPO27461) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA SPO27461) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-09-01 |