| NPI | 1669877049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R204204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1021453) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2021-08-10 |