| NPI | 1427113786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN 51254) |
| 363L00000X Nurse Practitioner (Licence: MD R081618) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2012-12-06 |