| NPI | 1497799142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1025365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R065756) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-03-20 |