| NPI | 1457384620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372500000X Chore Provider (Licence: DC RN1005441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R168192) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1005441) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-01-14 |