| NPI | 1457890311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA SP017174) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA Spo17174) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2025-03-07 |