| NPI | 1912409327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1033462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010343) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-04-24 |