| NPI | 1578874590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R225940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019757) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168562) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2017-04-17 |