| NPI | 1699103549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031952) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: DC RN1031952) |
| 363L00000X Nurse Practitioner (Licence: DC RN1031952) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2019-01-24 |