| NPI | 1285600700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331498-1) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |