| NPI | 1902493547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1045770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R218903) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-12-01 |