| NPI | 1598892119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP006670Z) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: PA RN-254043-L) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-02-10 |