| NPI | 1548770985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1026484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R221093) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-03-27 |