| NPI | 1033550991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN547871) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-12-17 |