| NPI | 1518210533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP1062659) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024170033) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-11-19 |