| NPI | 1497757322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: PA UP003792-B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP003792B) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-08-12 |