| NPI | 1134590326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP033243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN624347) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2025-07-08 |