| NPI | 1932768108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC RN1022412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022412) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R189560) | |
| 163W00000X Registered Nurse (Licence: DC RN1022412) | |
| 163W00000X Registered Nurse (Licence: MD R189560) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-12-22 |