| NPI | 1851619472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345023-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010833) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2021-03-04 |