| NPI | 1306244397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1024813) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r197009) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-03-17 |