| NPI | 1609920107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9282152) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F304274-1) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-11-29 |