| NPI | 1528159555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP004646P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN212608L) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2015-10-08 |