| NPI | 1437271376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9382962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 331871) |
| 363L00000X Nurse Practitioner (Licence: NY 489895) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-04-25 |