| NPI | 1992035174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1006509) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1006509) |
| 163W00000X Registered Nurse (Licence: VA 0001209828) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC000760) | |
| 163WX0200X Registered Nurse, Oncology (Licence: MD AC000760) | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2012-01-27 |