| NPI | 1518074152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006058B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN311103-L) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-01-26 |