| NPI | 1740457357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN225449L) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-09-13 |