| NPI | 1285966515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 054311-23) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2025-11-18 |