| NPI | 1831246370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R098458) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN66100) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-02-10 |