| NPI | 1265268502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500019875) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-11-19 |