| NPI | 1740346998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN51705) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R089410) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-07-15 |