| NPI | 1649489568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1049830) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 231719) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-06-20 |