| NPI | 1992947196 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008255) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R066265) | 
| Enumeration Date | 2009-04-02 | 
| Last Update Date | 2009-04-07 |