| NPI | 1871484360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA 2000603185) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA 2000603185) |
| 363L00000X Nurse Practitioner (Licence: PA SP033611) | |
| 163W00000X Registered Nurse (Licence: PA RN573686) | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-10-01 |