| NPI | 1306027099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP005127C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN242846L) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2017-02-28 |