| NPI | 1649507153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R136194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN66206) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2014-10-02 |