| NPI | 1427280601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R176043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN964831) |
| 363L00000X Nurse Practitioner (Licence: DC RN964831) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R176043) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-12-28 |