| NPI | 1932876844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN634811) |
| 363L00000X Nurse Practitioner (Licence: PA NPPA046988) | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2022-04-26 |