| NPI | 1346078953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP030158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 944344) |
| 163W00000X Registered Nurse (Licence: PA RN783758) | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |