| NPI | 1154833028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015940) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2019-09-16 |