| NPI | 1598046930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F336909-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 336909) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2016-10-20 |