| NPI | 1447415682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 342121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 309885) |
| 363L00000X Nurse Practitioner (Licence: PA SP009868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP009868) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-06-29 |