| NPI | 1366197741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC NP1047215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R244081) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-03-29 |