| NPI | 1538591383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN602057) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2022-07-21 |