| NPI | 1023085040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1004980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2856002) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1004980) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP2856002) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |