| NPI | 1073996336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340467) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-04-05 |