| NPI | 1962898023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R1760907) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1035031) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-11-16 |