| NPI | 1669941027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA Sp019360) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE lp0010478) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 310872) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2024-10-21 |