| NPI | 1922098821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-112272) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-11-20 |