| NPI | 1447904172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1062326) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |