| NPI | 1811142144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN540837) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2015-02-13 |