| NPI | 1487103024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022532) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2023-01-30 |