| NPI | 1437120391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015380) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002267) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-12-07 |