| NPI | 1538350574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1009292) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC RN1009292) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-09-12 |