| NPI | 1477553238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP64422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN64422) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R123268) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2023-02-16 |