| NPI | 1295397305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1036518) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R202978) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R202978) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-05-18 |