| NPI | 1669193728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R237575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1032332) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-09-18 |