| NPI | 1366883621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1018191) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R187582) |
| 207Q00000X Family Medicine (Licence: DC RN1018191) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-09-25 |