| NPI | 1083779920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R162359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1007121) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000577) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2015-09-06 |