| NPI | 1043693039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021667) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340250) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-08-04 |