| NPI | 1255524831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9484883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22696) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002846) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2018-12-04 |