| NPI | 1699055749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R233846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1003643) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2019-06-13 |