| NPI | 1548796501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R213072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1031526) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R213072) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-03-09 |