| NPI | 1164949004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP023095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017827) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2023-01-20 |