| NPI | 1245676543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337627-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 592386-1) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2014-07-01 |