| NPI | 1679654271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP004515-B) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP003236C) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-11-25 |