| NPI | 1275080186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN508207L) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-07-25 |