| NPI | 1700138765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN561064) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-08-02 |