| NPI | 1083286876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500005635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F347852-01) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-03-14 |