| NPI | 1134615586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1037305) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-02-06 |