| NPI | 1700297918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013837) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |