| NPI | 1891039608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1008680) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024170281) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |