| NPI | 1164894564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011898) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |