| NPI | 1851822175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016721) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-07-05 |