| NPI | 1245959212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN702063) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-10-03 |