| NPI | 1467680785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN-1005956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R175392) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-07-20 |