| NPI | 1598044026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R135181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN65927) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2014-02-03 |