| NPI | 1649086273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: PA RN736381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA AG05260001) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2026-05-04 |