| NPI | 1972820900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN599378) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2019-09-16 |