| NPI | 1922003078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1010272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R123551) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-05-07 |