| NPI | 1982218301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023658) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214570) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-12-20 |