| NPI | 1205970100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021834) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE L10015837) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000815) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002487) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-04-25 |