| NPI | 1326677675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1048021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048021) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186176) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-01-10 |