| NPI | 1306908421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010222) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 606) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-01-04 |