| NPI | 1861824492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN296489L) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013009) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2016-03-04 |