| NPI | 1346535929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005631) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336766) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2013-09-10 |