| NPI | 1174543813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F333641-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APN00531) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-09-13 |