| NPI | 1114392735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015625) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP015625) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2018-10-03 |