| NPI | 1477005833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN52864L) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-01-20 |