| NPI | 1235160854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP009301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WV 48825) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-03-17 |