| NPI | 1104367622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R209451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032855) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2024-01-11 |