| NPI | 1720297096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024101218) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1003376) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024101218) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-03-10 |