| NPI | 1316624612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN631518) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-12-18 |