| NPI | 1144518945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN590623) |
| 163W00000X Registered Nurse (Licence: MD R133968) | |
| 363L00000X Nurse Practitioner (Licence: PA SP011372) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |