| NPI | 1851334577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP001562C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG0000340) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-10-04 |