| NPI | 1366829327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014945) |
| 163W00000X Registered Nurse (Licence: PA RN669270) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-08-04 |