| NPI | 1447553771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA Sp011030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA Sp011030) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP011030) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2018-09-18 |