| NPI | 1528781879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP026051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN707603) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-04-24 |