| NPI | 1588165724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033171) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-09-26 |