| NPI | 1013943844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F341346-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012374-1) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-03-05 |