| NPI | 1932381555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP001317B) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA TR001317B) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2013-09-18 |