| NPI | 1295524676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022356) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN720151) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-06-20 |