| NPI | 1487463428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP031665) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F312019-01) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |