| NPI | 1821418591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R154969) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1002830) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-12-03 |