| NPI | 1538110580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP004596B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN274402L) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-02-13 |