| NPI | 1023224714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024092398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R071421) |
| 363L00000X Nurse Practitioner (Licence: DC RN966219) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |