| NPI | 1821630294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R216522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1037927) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |