| NPI | 1487793329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP000898B) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: PA RN124951L) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-02-12 |