| NPI | 1720161490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP005729B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP005729B) |
| 163W00000X Registered Nurse (Licence: PA RN271591L) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-09-21 |