| NPI | 1477749828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN527774L) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2018-03-28 |