| NPI | 1861884546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN628832) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-10-16 |