| NPI | 1811075229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP008381) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 68625) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-08-11 |