| NPI | 1083122386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018518) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5022431) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2026-03-16 |