| NPI | 1295076685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP000336C) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TPOOO336C) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-07-29 |