| NPI | 1154446060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 333931) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 14116) |
| 363L00000X Nurse Practitioner (Licence: PA SP009924) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-05-06 |