| NPI | 1215083969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: PA RN219113L) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP003201G) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |