| NPI | 1003117797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN66867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168999) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2011-11-02 |