| NPI | 1851901227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179660) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-03-08 |