| NPI | 1871515684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP004037B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN315201L) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-06-16 |