| NPI | 1831134147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN963866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024126766) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |