| NPI | 1528212800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335584) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-03-05 |