| NPI | 1184682452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 146556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015472) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-03-28 |