| NPI | 1467484196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 331275) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-16 |