| NPI | 1679817118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337660-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012083) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2016-11-14 |