| NPI | 1659517753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33335309) |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2013-01-25 |