| NPI | 1326307950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R255962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500002495) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95016105) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-11-30 |