| NPI | 1619507480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP021498) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: PA RN507199L) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2025-10-01 |