| NPI | 1639106651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9228952) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY NYS330384) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-09-20 |