| NPI | 1194089995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1004990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R165827) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-05-10 |