| NPI | 1821051137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP007146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN317786L) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2015-12-23 |