| NPI | 1487607156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP000390B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN235943L) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-01-04 |