| NPI | 1497899082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R127761) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023942) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-02-20 |