| NPI | 1770051526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R221919) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-29 |