| NPI | 1225681760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1032315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R233933) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |