| NPI | 1194494914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1042186) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: DC RN1042186) |
| 207Q00000X Family Medicine (Licence: DC 1042186) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-11-17 |