| NPI | 1386795334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F333069) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-09-11 |