| NPI | 1982930236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC rn1026938) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 278242) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2012-12-05 |