| NPI | 1881687218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: PA TP004334B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP004334Bp) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2016-07-19 |