| NPI | 1285246074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200003503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200003503) |
| 163W00000X Registered Nurse (Licence: SC 244176) | |
| 163W00000X Registered Nurse (Licence: AL 1-167486) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-12-06 |