| NPI | 1285888743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA SP013299) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-06-20 |