| NPI | 1316912371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 382631) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 465376) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-11-09 |