| NPI | 1205350931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1045832) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-12-02 |