| NPI | 1386047785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2288573) |
| 163W00000X Registered Nurse (Licence: PA RN689994) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2288573) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2017-12-06 |