| NPI | 1356765762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023798) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338645) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-11-18 |