| NPI | 1780150615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019187) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SPo19187) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-12-10 |