| NPI | 1528699220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R192967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1020298) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2023-02-02 |