| NPI | 1689803553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009759) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN569141) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2020-06-26 |