| NPI | 1659089506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026599) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN683277) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP026599) | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-08-23 |