| NPI | 1225182132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R166441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009495) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-10-07 |