| NPI | 1184251928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC NP1028148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178232) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2021-12-17 |