| NPI | 1134439565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 5274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021360) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2013-01-20 |