| NPI | 1740365287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN66572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R133001) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-03-10 |