| NPI | 1649466467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 973-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN 62601) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2007-09-16 |