| NPI | 1841657079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340180) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-10-02 |