| NPI | 1316286388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 85289) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2019-12-18 |