| NPI | 1043669278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340644) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-12-26 |