| NPI | 1578572715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP006637B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN501184L) |
| 363L00000X Nurse Practitioner (Licence: PA SP006637B) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-01-09 |