| NPI | 1528416476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1016841) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |