| NPI | 1134510266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R192928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1024677) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2022-05-18 |