| NPI | 1922447820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9366043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337759) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-04-29 |