| NPI | 1588030415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1047174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R197059) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2018-01-09 |