| NPI | 1033557699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017688) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LM-0000169) |
| 363L00000X Nurse Practitioner (Licence: PA SP012400) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2026-02-18 |