| NPI | 1609805704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN963123) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC RN963123) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-10-13 |