| NPI | 1588293575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200003870) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F10190478) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2021-11-08 |