| NPI | 1114321064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33339014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1035047) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |