| NPI | 1013302728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1017163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F0315095) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-01-31 |