| NPI | 1740202878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN511825L) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-08-13 |