| NPI | 1225284383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R167398) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1014507) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2015-12-23 |