| NPI | 1861628893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 001625) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380181-1) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |