| NPI | 1730408683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN608099) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-07-11 |