| NPI | 1952520876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335128-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LP0000358) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-07-01 |