| NPI | 1902046501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP015984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 532854) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2016-03-21 |