| NPI | 1538933981 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP028632)  | 
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA SP028632)  | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP028632)  | |
| Enumeration Date | 2023-11-07 | 
| Last Update Date | 2024-01-24 |