| NPI | 1033342621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015066) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4073) |
| 363L00000X Nurse Practitioner (Licence: WI 148711) | |
| 163W00000X Registered Nurse (Licence: PA RN669561) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2016-04-04 |