| NPI | 1346774650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1043109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R233611) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-12-06 |