| NPI | 1093029993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp012771) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 547571) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: PA RN528629L) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305888) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-09-06 |