| NPI | 1598430142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP027017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 348097) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2023-04-18 |