| NPI | 1720117070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9311614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334546) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-09-12 |