| NPI | 1487761938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP004814B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 027145) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-04-08 |