| NPI | 1083152284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1026990) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-10-31 |