| NPI | 1396259933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1030674) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-10-21 |