| NPI | 1588360812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC NP1040909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R168245) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-08-07 |