| NPI | 1568015634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN965271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R145430) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-03-05 |