| NPI | 1750573242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1025151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024167494) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2011-12-13 |