| NPI | 1134615024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: DC NP500015049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R214825) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-12-21 |