| NPI | 1265133847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R172508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1010173) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |