| NPI | 1245729854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342814) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-01-13 |