| NPI | 1760541395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009864) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334484 1) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-07-08 |