| NPI | 1497894299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN52505) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R108742) |
| 174400000X Specialist (Licence: MD M03263) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-05-08 |