| NPI | 1700811726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333022) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-09-09 |