| NPI | 1548440381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN53635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC000557) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024165964) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2016-07-14 |