| NPI | 1760699565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP009422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN518787L) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-02-06 |