| NPI | 1780951210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP003717C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN184946L) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |