| NPI | 1063926087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP026768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN656177) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-11-06 |