| NPI | 1205125002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022909) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-02-16 |