| NPI | 1669034419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038136) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R225485) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2023-06-15 |