| NPI | 1316338809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP7801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 339375) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2016-03-23 |