| NPI | 1851183206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP033343) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN679876) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-08-29 |