| NPI | 1457550444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN59977) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-10-24 |