| NPI | 1639484850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336319) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 835364) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2019-09-25 |