| NPI | 1962830836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP012908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN563858) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2025-11-21 |