| NPI | 1578644498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA SP009552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334564-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP009552) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-03-11 |