| NPI | 1346354867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP-006631 B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP-006631 B) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: PA VP-006631 B) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |