| NPI | 1609257880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN968250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD CRNP158707) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2016-03-02 |