| NPI | 1629375167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336584-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 629561-1) |
| 163W00000X Registered Nurse (Licence: PA RN612502) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2023-08-25 |