| NPI | 1225435902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014322) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2017-10-17 |