| NPI | 1720231053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009970) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-05-27 |