| NPI | 1326454265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1010260) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12667) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-05-03 |