| NPI | 1013923069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F331379) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-03-14 |