| NPI | 1992483440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R234973) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1044476) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-10-02 |