| NPI | 1427124106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA VP003203C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN25927L) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2013-12-04 |