| NPI | 1275684565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN47984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R088887) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2013-09-03 |