| NPI | 1467321133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP034482) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA RN511318L) |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2026-05-02 |