| NPI | 1457123085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN711710) |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2024-09-06 |