| NPI | 1710021860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA NPSPOO7935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN351170L) |
| 363L00000X Nurse Practitioner (Licence: PA sp007935) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-01-03 |