| NPI | 1801617725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA RN670994) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031177) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-11-19 |