| NPI | 1073280434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC F09210533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F09210533) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-09-14 |