| NPI | 1548159155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP033556) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN660816) |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-09-17 |