| NPI | 1023102704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP001333B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN217874L) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |