| NPI | 1124382767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN966872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R149680) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-03-09 |