| NPI | 1548628266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1040167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340024) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |