| NPI | 1477659043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9425711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334354) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-12-20 |