| NPI | 1881342566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP025493) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA SP025493) |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2023-02-22 |