| NPI | 1043730674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1056077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341640) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R240716) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341640-1) | |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-08-08 |