| NPI | 1831394386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008627) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-08-22 |