| NPI | 1326487075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F337573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F337573-1) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2015-05-08 |