| NPI | 1114405107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1053755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024186197) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-06-08 |