| NPI | 1316288699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN64224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R133232) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-05-01 |