| NPI | 1487026928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1039110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1039110) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2018-04-17 |