| NPI | 1487756953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001063896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN967062) |
| 363A00000X Physician Assistant (Licence: DC PA30235) | |
| 363A00000X Physician Assistant (Licence: VA 0110840182) | |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |