| NPI | 1437367703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp010384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN531721) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2015-10-21 |