| NPI | 1659608644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1006540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168071) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |