| NPI | 1033115399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9390518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331150) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-09-18 |