| NPI | 1285792226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9252675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 510631-1) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-08-14 |