| NPI | 1831884220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP027641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R209334) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-02-27 |