| NPI | 1821461849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1018076) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-12-04 |