| NPI | 1215056718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP-001330-D) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-204012-L) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-12-15 |