| NPI | 1609386788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN1055235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60784450) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-09-03 |