| NPI | 1164743233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN965471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R141437) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2021-03-26 |