| NPI | 1477561025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp004328C) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA sp004328c) |
| 363L00000X Nurse Practitioner (Licence: PA sp004328c) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-05-21 |