| NPI | 1134360613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F330289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004161) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2012-12-18 |