| NPI | 1710057864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: PA SP014759) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY F320057-1) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-09-06 |