| NPI | 1922476266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175650) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010406) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2025-11-03 |