| NPI | 1598972408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: PA SP010780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 651993) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP010780) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-08-07 |