| NPI | 1396230926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC rn1027279) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD RN200383) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-12-17 |