| NPI | 1265981716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178114) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: DC RN1042478) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2020-05-18 |