| NPI | 1972901577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014676) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: PA RN531824) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2016-07-18 |