| NPI | 1306095799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1013871) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-10-09 |