| NPI | 1578767885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168210) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC RN964596) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-07-12 |