| NPI | 1497970578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN65561) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-20 |