| NPI | 1508593898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN717891) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-12-08 |