| NPI | 1942076781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028749) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA SP028749) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-04-04 |