| NPI | 1144091885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP029416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN733318) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-03-21 |