| NPI | 1720331945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1012449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F11180833) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2019-06-04 |