| NPI | 1215260476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R167616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1002725) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2018-12-10 |