| NPI | 1003120064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010979) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD r160233) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2016-11-30 |