| NPI | 1336642180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN1052079) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024175981) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1052079) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2021-12-14 |