| NPI | 1215991872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN49992) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |