| NPI | 1952315228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012806) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F332027) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-03-09 |