| NPI | 1851327217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R118050) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN39420) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2011-09-07 |