| NPI | 1689785461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP009060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP006060) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-01-26 |