| NPI | 1508850546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN239575L) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP006605B) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-04-06 |