| NPI | 1336159698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R161646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009710) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-11-16 |