| NPI | 1053566406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN40365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R116317) |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2022-11-01 |