| NPI | 1184939050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4424) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2025-05-30 |