| NPI | 1225382492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170444) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500002180) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2024-04-09 |