| NPI | 1619055837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335381) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-03-25 |