| NPI | 1881797116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP000997C) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP000997C) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP000997C) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-04-21 |