| NPI | 1770092637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1048993) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9220455) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-07-09 |