| NPI | 1437630472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019512) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA 653583) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-12-10 |