| NPI | 1447456165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R109033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC rn43392) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2009-01-23 |