| NPI | 1629019757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP961616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R135421) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-05-01 |