| NPI | 1295917177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP005911-B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA TP005911B) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2013-05-23 |