| NPI | 1396998464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP018961) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 3071482) |
| Enumeration Date | 2008-11-02 |
| Last Update Date | 2018-10-29 |