| NPI | 1447389812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 3395382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME 050824) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F330186-1) | |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-08 |