| NPI | 1295884948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP48148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024164054) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-06-14 |