| NPI | 1932466976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN631179) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2014-03-24 |