| NPI | 1346846672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R245850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1058997) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-02-27 |