| NPI | 1366409369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2169662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN56702) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R080315) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-04-07 |