| NPI | 1578847034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP031774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024177120) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024177120) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 114325) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2025-02-13 |