| NPI | 1548954332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP032076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015758) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-02-15 |