| NPI | 1609030022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1007488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167750) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2012-11-01 |