| NPI | 1649794041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN574000) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2025-01-27 |