| NPI | 1275045775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN634826) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2023-02-21 |