| NPI | 1346610359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN625373) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2016-12-21 |