| NPI | 1609207778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN961391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R147653) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-10-13 |