| NPI | 1114696127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1051660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024182642) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-11-09 |