| NPI | 1861714644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028692) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00279600) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2024-10-24 |