| NPI | 1396294161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R177131) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2017-03-09 |