| NPI | 1679203327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN76440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R149073) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |