| NPI | 1821396359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN566722) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2016-03-04 |