| NPI | 1215966585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP025707) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303743) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-06-29 |