| NPI | 1831249234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 331466) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-01-11 |