| NPI | 1477716900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN53582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA RN0001109325) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA NP0024109325) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |