| NPI | 1134694177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1040818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R178014) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-02-21 |