| NPI | 1790088516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011201) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN568343) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2012-03-20 |