| NPI | 1649484296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN67176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001052375) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |