| NPI | 1073971669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001242910) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |