| NPI | 1487995494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00428700) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312516) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 337856) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2019-07-18 |