| NPI | 1346283470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 3430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F334040) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 0050-01798) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-08-23 |