| NPI | 1760857882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341034-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129606) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-10-27 |