| NPI | 1346424207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332562-1) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2015-11-06 |