| NPI | 1326644188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1061183) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R229473) | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2022-02-08 |