| NPI | 1144661760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1043735) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R226670) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-09-27 |