| NPI | 1093866618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP003308C) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA RN312707L) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-03-07 |