| NPI | 1619756079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1045325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R246401) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-08-07 |