| NPI | 1699126276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1030308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R213219) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-07-21 |