| NPI | 1154750552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013452) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN584995) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-12-10 |