| NPI | 1568523801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3347411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16013) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-09-01 |