| NPI | 1497205769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2349446) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1022402) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-05-06 |