| NPI | 1326397787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337542) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2021-03-09 |