| NPI | 1124182274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN41947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0001078167) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |