| NPI | 1265128490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN698114) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA F03230048) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-08-21 |