| NPI | 1205876497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN254164L) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-07-10 |