| NPI | 1134452733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1060336) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1060336) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011668) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R203078) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2025-08-05 |