| NPI | 1801065842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP009782) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: PA SP009783) |
| 163WG0000X Registered Nurse General Practice (Licence: PA RN561451) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2011-12-19 |