| NPI | 1669501789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9229390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331525-1) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |