| NPI | 1114135209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335679) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009331) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00126400) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2024-12-30 |