| NPI | 1992950380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1003253) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC RN1003253) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2009-12-16 |