| NPI | 1225430234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 339000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 339000) |
| 363L00000X Nurse Practitioner (Licence: PA SP014176) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP014176) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-04-21 |