| NPI | 1225337942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021662) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2015-05-06 |