| NPI | 1790440717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN606146) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-10 |