| NPI | 1871061473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP026152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R202796) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-09-01 |