| NPI | 1023660503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020422) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 120671) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-04-19 |