| NPI | 1922284785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R181699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015083) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2022-07-21 |