| NPI | 1578866729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007990A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336471-1) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2018-05-23 |