| NPI | 1790268753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24735) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-04-22 |