| NPI | 1629515457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017081) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017081) |
| 163W00000X Registered Nurse (Licence: PA RN651146) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2025-09-15 |