| NPI | 1821368663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP011899) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2023-04-21 |