| NPI | 1861965030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R208503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R208503) |
| 163W00000X Registered Nurse (Licence: DC RN1033702) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033702) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |