| NPI | 1447401583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F334726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05226) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2013-03-07 |