| NPI | 1356817530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001272855) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176958) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2021-09-08 |