| NPI | 1215623327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN577159) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-05-24 |