| NPI | 1376306241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1037569) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-01-28 |