| NPI | 1558429324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1017006) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: DC RN1017006) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-11-23 |