| NPI | 1679095327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 084274-23) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC RN1028043) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2021-05-21 |