| NPI | 1932343456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD 2008004293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 48572) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |