| NPI | 1477820769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN65807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R136290) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-06-28 |