| NPI | 1861816159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r155595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002427) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2015-01-10 |