| NPI | 1912132648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP035466) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP035466) |
| 363L00000X Nurse Practitioner (Licence: MD R140314) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2026-04-14 |