| NPI | 1568089365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R233261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1013739) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-08-03 |