| NPI | 1609399344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f342023-1) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-08-18 |