| NPI | 1639726409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1054329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R217353) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |