| NPI | 1043553811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012768) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23811) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2014-07-09 |