| NPI | 1073270450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1016497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183513) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2024-01-31 |