| NPI | 1588717870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN967998) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-01-05 |