| NPI | 1851623698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP034129) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2300451) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL TPAN3014) | |
| 111N00000X Chiropractor (Licence: NY 011962) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2026-05-26 |