| NPI | 1053303651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 24166243) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN963008) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-03-26 |