| NPI | 1174136345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179901) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2023-10-17 |