| NPI | 1811448806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 208118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340990) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |