| NPI | 1003364795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R219914) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R219914) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025415) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2019-06-06 |