| NPI | 1497636047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN680374) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: PA PA185685) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-10-24 |