| NPI | 1669599585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R193401) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000590) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN 268422) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2015-05-19 |