| NPI | 1437393253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 342833) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 578668-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP018573) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342833) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2019-04-12 |