| NPI | 1730511981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R174293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009165) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2023-03-09 |