| NPI | 1154731487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R117774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN60369) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |