| NPI | 1275938201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R116887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN60297) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2025-07-29 |