| NPI | 1306194733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017544) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1022186) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R199927) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2022-07-09 |