| NPI | 1962945360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1043069) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |