| NPI | 1558806778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R231471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1035077) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2023-11-09 |