| NPI | 1972835023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R188701) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R188701) | |
| 163W00000X Registered Nurse (Licence: DC RN1023331) | |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2015-01-20 |