| NPI | 1952024838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN656635) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01471800) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-12-02 |