| NPI | 1427057272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R129189) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1005448) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA TP001316B) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000275) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2015-07-09 |