| NPI | 1114391943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R162580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1003737) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-01-08 |