| NPI | 1831896950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SPO24043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 346334) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-02-14 |