| NPI | 1063535441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN964709) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-08-19 |