| NPI | 1356020937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP027343) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA NPPA060923) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-05-20 |