| NPI | 1609461847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1003560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1003560) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: DC RN1003560) | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |