| NPI | 1336478726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: PA RN533016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP010582) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-18 |