| NPI | 1942594833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 363763) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2014-11-25 |