| NPI | 1629442405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1014307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R187667) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-12-22 |