| NPI | 1972327393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP030811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP030811) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-02-18 |