| NPI | 1326635194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA SP022918) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP0010439) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-08-05 |