NPI | 1811880537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: PA RN739159) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033014) |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-09-26 |