| NPI | 1245780816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015677) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 186010) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-03-25 |