| NPI | 1528492386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006364) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-12-16 |