| NPI | 1578610002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014395) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-05-27 |