| NPI | 1184168890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1027455) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2024-03-22 |