| NPI | 1013325810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP020941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339595) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024313) | |
| 363L00000X Nurse Practitioner (Licence: PA RN722357) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2023-07-12 |