| NPI | 1992245930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN66653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R138442) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |