| NPI | 1285021444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r180999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC rn1014122) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |