| NPI | 1578617106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA UP006507B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334160) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-02-25 |