| NPI | 1952315178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN525413L) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2026-06-18 |