| NPI | 1083942106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN505951L) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2014-10-31 |