| NPI | 1619241007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP022183) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R139236) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2023-04-11 |