| NPI | 1326366246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015065) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN273637) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-05-11 |