| NPI | 1467115840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1031320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R207456) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |