| NPI | 1447564471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP010727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN553234) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2012-12-17 |