| NPI | 1841939576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026039) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: PA RN661111) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-08-02 |