| NPI | 1528309812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R197732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1022215) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2015-03-10 |