| NPI | 1083433700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024189832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1043826) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |