| NPI | 1790702256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN961317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000379) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-01-15 |