| NPI | 1487755211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN63512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R132167) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-09-29 |