| NPI | 1154420834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN520230L) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009122) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN284088) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1017015) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-10-08 |