| NPI | 1689902595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN546954) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-09 |