| NPI | 1124297528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024145313) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 64567) |
| 363L00000X Nurse Practitioner (Licence: VA 0017001698) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024145313) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2023-03-15 |