| NPI | 1689913659 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP012793) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN631396) | 
| Enumeration Date | 2013-02-11 | 
| Last Update Date | 2014-11-26 |