| NPI | 1891335691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1058940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012683) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-06-03 |