| NPI | 1770315939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN788136) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-09-16 |