| NPI | 1134911456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP035355) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363L00000X Nurse Practitioner (Licence: PA SP035355) | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2026-04-10 |