| NPI | 1700901170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP005863B) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA VP005863B) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-12-08 |