| NPI | 1336338953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164741) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC RN66447) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-11-27 |