| NPI | 1861275638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA RN691380) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP028809) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-09-25 |