| NPI | 1265821508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1013344) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2023-01-18 |