| NPI | 1609929736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN644665) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2021-01-02 |