| NPI | 1790594331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP031950) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: PA RN708427) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-05-12 |