| NPI | 1518372515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013656) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP013656) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013656) | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-04-15 |