| NPI | 1053372375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R134852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002895) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-08 |