| NPI | 1689937294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp011884) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-04-05 |