| NPI | 1407103005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 3379451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 060095-23) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2017-04-06 |