| NPI | 1437146651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP005921B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN275591L) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2014-04-16 |