| NPI | 1760811020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY F306507) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 841568) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-25 |