| NPI | 1043332539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN561132) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-11-28 |