| NPI | 1881199495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2372186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1048125) |
| 363L00000X Nurse Practitioner (Licence: MD R210006) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-02-14 |