| NPI | 1740229640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN66806) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: VA 0001084328) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024165921) | |
| 363LF0000X Nurse Practitioner Family (Licence: DC RN66806) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |