| NPI | 1891173951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP015014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN517246L) |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-11-24 |