| NPI | 1447919477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN656877) |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-22 |