| NPI | 1699073726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD NP136351) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022058) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |