| NPI | 1679805709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010657) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2018-10-18 |