| NPI | 1356930804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347007-01) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-01-25 |