| NPI | 1396183901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005089) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332426-1) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |