| NPI | 1184747644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335131) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2017-04-13 |