| NPI | 1497299895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343106) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2022-12-20 |