| NPI | 1205354743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN964827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R152282) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-06-20 |