| NPI | 1295869535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9400436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334420-1) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2017-04-18 |