| NPI | 1851553093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335392) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-05-23 |