| NPI | 1447211768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA UP006324M) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN204271L) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2025-09-11 |