| NPI | 1861885550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MO6049363) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2025-05-09 |