| NPI | 1174668909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R139818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC rn67407) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-11-30 |