| NPI | 1861481780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP005092C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN271248L) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2011-09-14 |