| NPI | 1356413900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.007395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009384) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-07-28 |