| NPI | 1013037068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330059-1) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |