| NPI | 1891851242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN212680L) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP001750c) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-09-10 |