| NPI | 1699051516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1024802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R140049) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R140049) | |
| 163W00000X Registered Nurse (Licence: DC RN1024802) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |