| NPI | 1033818869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN714427) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-02-05 |