| NPI | 1699989871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP007301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335473) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-06-29 |