| NPI | 1275738965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R070214) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R070214) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN41201) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-02-20 |