| NPI | 1174089239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R220058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033944) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2026-05-21 |