| NPI | 1407108475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9446775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1018546) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2017-01-26 |