| NPI | 1972055457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1022520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R224652) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022520) | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2017-11-09 |