| NPI | 1881834299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN553421) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-26 |