| NPI | 1255361192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009036) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-03-27 |