| NPI | 1942589973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R182917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1008751) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2018-07-02 |