| NPI | 1962920298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057790) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-116557) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-06-15 |