| NPI | 1457502098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp009082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN278183L) |
| 163W00000X Registered Nurse (Licence: NY 382899-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335103-1) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |