| NPI | 1841472156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA A0C07318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN302644L) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2018-05-01 |