| NPI | 1205842432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN968239) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-06 |