| NPI | 1073279311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030946) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: PA RN623432) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2024-12-18 |