| NPI | 1386928620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN291716L) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2020-08-20 |