| NPI | 1336697358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1016323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173996) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-10-31 |