| NPI | 1376250753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN761872) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-05-08 |