| NPI | 1508046723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022480) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 262759) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2020-10-01 |