| NPI | 1700315728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007945) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP005103D) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |