| NPI | 1114734415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP031849) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R233642) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-03-19 |