| NPI | 1023077526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP003277C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN219067L) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-03-12 |