| NPI | 1760692891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1012552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R115333) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-03-06 |