| NPI | 1316131188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN67817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R139342) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2011-06-10 |