| NPI | 1437128956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F331284-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP003656B) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2012-06-28 |