| NPI | 1689991283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN324853L) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA VP005718C) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2025-08-08 |