| NPI | 1679626295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R092137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN48813) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000387) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |