| NPI | 1871307769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP032065) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA MN9466790) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-03-31 |