| NPI | 1972969905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SPO15146) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: PA CNS000029) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |