| NPI | 1427106277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R114087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN57972) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000392) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-01-20 |