| NPI | 1285629360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R116831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN60962) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2009-01-27 |