| NPI | 1003057373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 259359) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2011-02-22 |