| NPI | 1063686061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9323073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335486-1) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-03-06 |