| NPI | 1477149052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1032767) |
| 163W00000X Registered Nurse (Licence: VA 0001271588) | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-04-09 |