| NPI | 1790537736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN680183) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-10-15 |