| NPI | 1730671462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018895) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-02-14 |