| NPI | 1427717073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP032375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182953) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2025-06-19 |