| NPI | 1508297805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1009557) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN1009557) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2024-06-06 |