| NPI | 1427342781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016925) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2018-03-17 |