| NPI | 1194826818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R205729) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-08-05 |