| NPI | 1578674958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP005102C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN239621) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp005102c) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-06-16 |