| NPI | 1497183115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337776-1) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2016-08-02 |