| NPI | 1417500349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1034274) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R230216) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |