| NPI | 1326724824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F351886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027772) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-01-09 |