| NPI | 1053611459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022861) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-08-05 |