| NPI | 1134157449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PA RN215153L) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP005471B) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN09176000) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-05-29 |