| NPI | 1821086109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN48390) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC 48390) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2013-04-11 |