| NPI | 1518240209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA UP001547C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN299064L) |
| 363L00000X Nurse Practitioner (Licence: PA UP001547C) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2020-01-30 |