| NPI | 1164867628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200004896) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-10-26 |