| NPI | 1154289270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN759298) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP035224) |
| Enumeration Date | 2026-01-15 |
| Last Update Date | 2026-03-31 |