| NPI | 1326131913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0050-03517) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304410) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-08 |